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Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic |
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| Authors: | Xavier Nogués Francisca Sánchez-Martinez Xavier Castells Adolfo Díez-Pérez Rosa Ana Sabaté Irene Petit Ariadna Brasé Juan Pablo Horcajada Roberto Güerri-Fernández Julio Pascual |
| Institution: | 1. Department of Internal Medicine Hospital del Mar, Hospital-at-Home Hospital del Mar Institute for Medical Research (IMIM), CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain;2. Hospital-at-Home, Department of Geriatrics, Hospital del Mar, IMIM, CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain;3. Department of Infectious Diseases, Hospital del Mar-IMIM, Barcelona, Spain;4. Department of Epidemiology and Evaluation, Hospital del Mar-IMIM, and Research Network on Health Services in Chronic Diseases (REDISSEC), Barcelona, Spain;5. Department of Nephrology, Hospital del Mar-IMIM, Barcelona, Spain |
| Abstract: | A Coronavirus Disease 2019 (COVID-19)–specific Hospital-at-Home was implemented in a 400-bed tertiary hospital in Barcelona, Spain. Senior or immune-compromised physicians oversaw patient care. The alternative to inpatient care more than doubled beds available for hospitalization and decreased the risk of transmission among patients and health care professionals. Mild cases from either the emergency department or after hospital discharge were deemed suitable for admission to the Hospital-at-Home. More than half of all patients had pneumonia. Standardized protocols and management criteria were provided. Only 6% of cases required referral for inpatient hospitalization. These results are promising and may provide valuable insight for centers undertaking Hospital-at-Home initiatives or in the case of new COVID-19 outbreaks. |
| Keywords: | COVID-19 Hospital-at-Home telemedicine |
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